
A couple weeks back a client of mine told me about a friend who had thrown out his back picking a towel up off the floor. Most people might be surprised to hear that picking up a light seemingly innocuous object is how most people throw their back out. It is usually not lifting something big and heavy because people recognize that the object is big and heavy, so take the time to brace and prepare themselves for the movement. The injuries happen with the simple stuff...I have heard of guys losing it while bending over to pick up a credit card.
Why? Because they don't associate the object with any type of risk and they dive into the movement but their reflexive stabilizing mechanisms are dysfunctional and they don't get the support they need as they bend over...the weight of their own body is not controlled properly and the back gets nailed.
Anyway, I offered to help the person with his recovery (that is after all what I do for a living), but for a variety of reasons the person was not able to arrange to work with me. OK, no problem...those things happen. However, I got a bit concerned when I later learned that he was planning on going to a local gym and booking some sessions with a trainer there. Being reasonable and opened minded I can say maybe the trainer he ends up working with really knows what he is doing and can help this person with his back problem. On the other hand, there is also a very good chance that this person has no clue how to deal with back injuries and will just screw this person up more.
How can the guy tell if he is in good hands or not? The message I passed on to him via my client is the same one I will share with you all here:
if the trainer puts him on ANY seated resistance training machine as part of his program then I am about 100% confident the trainer does not know what he/she is really doing and the person is at risk of getting a lot worse.That is the simple barometer for the lay person to use when assessing whether or not they are in capable hands for back issues. Why? Because the back is having problems because the person's body has dysfunctional movement mechanics...and you can't retrain movement mechanics sitting on a machine pushing and pulling levers. Those machines are actually the anti-thesis of real live movement.
The person needs to regain the ability to stand and move on their feet with all of their joints and tissues working together with synergy. Without that, problems will never resolve.
This is also why back problems (and a lot of other problems) can't be corrected with stretching alone or forms of manual therapy. Stretching and manual therapy are very good adjuncts to a rehabilitation program...I ensure my clients do it.
BUT, unless the body is retrained to move effectively and handle load (something that stretching and manual therapy cannot do because there is no motor learning nor tissue strengthening involved), then the problem will persist indefinitely. How many people do you know who have some type of pain issue and stretch a bunch or do lots of manual therapy, but never really get better year after year? Something to think about...